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	<id>https://hcdwiki.tattvagavi.org/index.php?action=history&amp;feed=atom&amp;title=Very_Pale_Cannot_Stand</id>
	<title>Very Pale Cannot Stand - Revision history</title>
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	<updated>2026-05-03T07:07:14Z</updated>
	<subtitle>Revision history for this page on the wiki</subtitle>
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	<entry>
		<id>https://hcdwiki.tattvagavi.org/index.php?title=Very_Pale_Cannot_Stand&amp;diff=61&amp;oldid=prev</id>
		<title>Adminsuper: Created page with &quot;{{Severity Banner | level    = red | card_no  = 22 | title    = Very Pale — Cannot Stand | subtitle = Completely pale eyelids and cannot stand means severe anaemia — go to hospital immediately }}  {{Card Infobox | card_no  = 22 | severity = red | category = Bleeding | audio    = Very_Pale_Cannot_Stand_Khasi.mp3 | call_108 = yes | pathway  = 108 → CHC / District Hospital (blood transfusion needed) | image    = Card_22_Very_Pale_Cannot_Stand.png }}  == What is this?...&quot;</title>
		<link rel="alternate" type="text/html" href="https://hcdwiki.tattvagavi.org/index.php?title=Very_Pale_Cannot_Stand&amp;diff=61&amp;oldid=prev"/>
		<updated>2026-05-02T11:35:37Z</updated>

		<summary type="html">&lt;p&gt;Created page with &amp;quot;{{Severity Banner | level    = red | card_no  = 22 | title    = Very Pale — Cannot Stand | subtitle = Completely pale eyelids and cannot stand means severe anaemia — go to hospital immediately }}  {{Card Infobox | card_no  = 22 | severity = red | category = Bleeding | audio    = Very_Pale_Cannot_Stand_Khasi.mp3 | call_108 = yes | pathway  = 108 → CHC / District Hospital (blood transfusion needed) | image    = Card_22_Very_Pale_Cannot_Stand.png }}  == What is this?...&amp;quot;&lt;/p&gt;
&lt;p&gt;&lt;b&gt;New page&lt;/b&gt;&lt;/p&gt;&lt;div&gt;{{Severity Banner&lt;br /&gt;
| level    = red&lt;br /&gt;
| card_no  = 22&lt;br /&gt;
| title    = Very Pale — Cannot Stand&lt;br /&gt;
| subtitle = Completely pale eyelids and cannot stand means severe anaemia — go to hospital immediately&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{Card Infobox&lt;br /&gt;
| card_no  = 22&lt;br /&gt;
| severity = red&lt;br /&gt;
| category = Bleeding&lt;br /&gt;
| audio    = Very_Pale_Cannot_Stand_Khasi.mp3&lt;br /&gt;
| call_108 = yes&lt;br /&gt;
| pathway  = 108 → CHC / District Hospital (blood transfusion needed)&lt;br /&gt;
| image    = Card_22_Very_Pale_Cannot_Stand.png&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
== What is this? ==&lt;br /&gt;
&lt;br /&gt;
When the inner eyelids and the fingernails look completely white or almost colourless, and the woman cannot stand without support, her blood count has fallen to a dangerously low level. This is severe anaemia. The body does not have enough red blood cells to carry oxygen to the muscles and organs. She may feel she is about to faint, or her head spins when she tries to stand.&lt;br /&gt;
&lt;br /&gt;
This level of anaemia is a medical emergency. The woman may need a blood transfusion — a treatment that is only available at the CHC or District Hospital. Iron tablets will not work fast enough at this stage. She needs emergency hospital care right now.&lt;br /&gt;
&lt;br /&gt;
{{Action Steps|&lt;br /&gt;
* &amp;#039;&amp;#039;&amp;#039;Tell your ASHA immediately&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
* &amp;#039;&amp;#039;&amp;#039;Go to the CHC or District Hospital right now — she may need a blood transfusion&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
* Do not try to manage this with tablets or home remedies&lt;br /&gt;
* If she cannot walk — carry her and call 108 for an ambulance&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{Referral Pathway&lt;br /&gt;
| step1 = 📞 108&lt;br /&gt;
| step2 = CHC / District Hospital (blood transfusion)&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{Risk Window|&lt;br /&gt;
When the inner eyelids are completely white and the woman cannot stand without help, or feels she is about to faint — this is a blood-transfusion emergency. Iron tablets act too slowly. &amp;#039;&amp;#039;&amp;#039;She must reach the CHC or District Hospital the same day.&amp;#039;&amp;#039;&amp;#039; Delay is extremely dangerous, especially close to delivery.&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
== Khasi audio guide ==&lt;br /&gt;
&lt;br /&gt;
{{Audio Guide|file=Very_Pale_Cannot_Stand_Khasi.mp3|duration=2:00}}&lt;br /&gt;
&lt;br /&gt;
== Related cards ==&lt;br /&gt;
&lt;br /&gt;
* [[Pale_Eyelid_and_Nails|Pale Eyelid and Nails]] — the earlier, less severe stage&lt;br /&gt;
* [[Vaginal_Bleeding|Vaginal Bleeding]] — heavy bleeding is a common cause of severe anaemia&lt;br /&gt;
* [[Mother_Has_Collapsed|Mother Has Collapsed]] — what to do if she loses consciousness&lt;br /&gt;
&lt;br /&gt;
{{Emergency Footer}}&lt;br /&gt;
&lt;br /&gt;
[[Category:Symptom Cards]]&lt;br /&gt;
[[Category:Red Alert]]&lt;br /&gt;
[[Category:Bleeding]]&lt;/div&gt;</summary>
		<author><name>Adminsuper</name></author>
	</entry>
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